Professional Documents
Culture Documents
ROOM ACCOMMODATION
Suite Rooms Abscond: _________________
Private Rooms 2 2 5 Death in the Past
Ward 2 7 10 24 Hours: ___________________
ICU
Nursery Operation
Newborn 1 Baby 2 Babies OPD: ______________
Total 4 Pts. 9 Pts. + 1 Baby 15 Pts. + 2 Babies MINOR: __________
Medicare SM MAJOR: ___________
Medicare SD OUT-PATIENT: _____________
GM IN-PATIENT: __________
GD O.P. (Consultation)_________
Non-Medicare
F.P. _____________________